Aberdeen Heights
505 Couch Avenue, Kirkwood, MO 63122 · St. Louis County · 38 certified beds · avg 33 residents/day · certified since Dec 23, 2011
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (9)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 15, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| May 7, 2025 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| May 7, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| May 7, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| May 7, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 7, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 7, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Dec 7, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jun 7, 2021 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 1 | 0 | E |
| 2023 | 3 | 0 | E |
| 2025 | 5 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.52 | 3.66 | 3.95 | top 5% in Missouri; top 7% in the U.S. |
| Registered Nurse hours | 1.38 | 0.49 | 0.69 | top 1% in Missouri; top 6% in the U.S. |
| Weekend total nurse staffing | 4.77 | 3.22 | 3.50 | top 6% in Missouri; top 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.75 | 0.33 | 0.48 | top 2% in Missouri; top 13% in the U.S. |
| Total nursing staff turnover (%) | 65.4 | 56.0 | 45.8 | bottom 26% in Missouri; bottom 9% in the U.S. |
| RN turnover (%) | 37.5 | 47.8 | 42.9 | top 33% in Missouri; top 42% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.86, RN 1.21, weekend 4.20. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ashfield Active Living and Wellness Communities, INC. | Organization | 5% or Greater Direct Ownership Interest | — | 09/01/2011 |
| Presbyterian Manors of Mid-America INC | Organization | 5% or Greater Direct Ownership Interest | — | 09/01/2011 |
| Altobella, Anthony | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/10/2022 |
| Altobella, Anthony | Individual | ADP of the SNF | NOT APPLICABLE | 11/21/2025 |
| Bonney, Robert | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2019 |
| Brennecke, Gary | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2015 |
| Cook, Patricia | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2022 |
| Duling, Nancy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2020 |
| Farmer, Carla | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2025 |
| Goodwin, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2018 |
| Harris, Daniel | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2019 |
| Hind, Sherry | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2011 |
| Lin, Walter | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2022 |
| Lin, Walter | Individual | ADP of the SNF | NOT APPLICABLE | 11/21/2025 |
| Miller, Joan | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2011 |
| Owens, Melanie | Individual | Corporate Officer | NOT APPLICABLE | 07/10/2017 |
| Schendel, Rob | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/15/2023 |
| Shogren, Bruce | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2011 |
| Taylor, William | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2015 |
| Wolff, Christie | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/05/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Grove at Kirkwood, the | 1.0 mi | Kirkwood, MO | ★☆☆☆☆ | 1/5 | SFF |
| Bethesda Dilworth | 2.4 mi | Saint Louis, MO | ★★★☆☆ | 3/5 | |
| Quarters at Des Peres, the | 2.9 mi | Des Peres, MO | ★☆☆☆☆ | 1/5 | |
| Garden View Care Center at Dougherty Ferry | 2.9 mi | Valley Park, MO | ★★★★☆ | 5/5 | |
| Big Bend Woods Healthcare Center | 3.7 mi | Valley Park, MO | ★☆☆☆☆ | 3/5 | |
| Friendship Village Sunset Hills | 3.8 mi | Saint Louis, MO | ★★★☆☆ | 3/5 | |
| Fountain Care at Sunset Hills | 3.8 mi | Saint Louis, MO | ★☆☆☆☆ | 1/5 | |
| Fieser Nursing Center | 4.3 mi | Fenton, MO | ★★☆☆☆ | 2/5 | |
| Mary, Queen and Mother Center | 5.2 mi | Shrewsbury, MO | ★★☆☆☆ | 2/5 | |
| Maple Grove Wellness & Rehabilitation | 5.3 mi | Fenton, MO | ★☆☆☆☆ | 2/5 | |
| Lutheran Convalescent Home | 5.4 mi | Webster Groves, MO | ★★★★★ | 4/5 | |
| McKnight Place Extended Care | 5.4 mi | Saint Louis, MO | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 265841.